Medicine and Health Sciences Commons^™

Experience Of Play Participation And Use Of Lower Extremity Orthoses In Children With Cerebral Palsy: Case Study, Lakyn Elizabeth Jolly-Burchell

Online Theses and Dissertations

This case study sought to understand the experience of a single family of a child with cerebral palsy (CP) using lower extremity orthoses (LEOs) in natural play contexts. CP is the most commonly occurring motor disability in childhood. Associated with CP, impairments in functional mobility, spasticity, varying degrees of muscle tone, ROM, and impaired gross and fine motor control are barriers to meaningful play experiences in this population. LEOs are widely prescribed devices for children with CP, used as walking aids and to improve/offset some of these performance deficits and body structures. Although, the true efficacy of LEOs is yet …

Anemia And It's Associated Factors Among Adolescents In Kuwait, Lemia Shaban, Abdullah Al-Taiar, Abdur Rahman, Reem Al-Sabah, Olusegun Mojiminiyi

Community & Environmental Health Faculty Publications

We estimated the prevalence of anemia among school children and investigated factors associated with this problem in Kuwait. A cross-sectional study was conducted on 1415 adolescents randomly selected from middle schools in Kuwait. Hemoglobin, iron, ferritin, folate and vitamin B-12, in addition to many other laboratory indicators, were measured in a venous blood sample. Data on risk factors for anemia were collected from parents and adolescents. Multiple logistic regression was used to investigate factors associated with anemia. The prevalence of anemia was 8.06% (95% CI: 6.69-9.60%), which was significantly higher among females compared to males (10.96% vs. 5.04%; p < 0.001). Mean (SD) Hb level was 133.7 (9.89) g/L and 130.00 (10.48) g/L among males and females, respectively (p < 0.001). The prevalence of mild, moderate and severe anemia was 5.94%, 1.91% and 0.21%, respectively. Gender, age, iron concentration and ferritin were associated with anemia in multivariable analysis. These data indicate that anemia among school children in Kuwait is of mild public health significance. Further reduction in anemia in school girls should focus on correcting iron deficiency. Surveillance systems for anemia may consider using a cut-off point that is specific for the method of blood sampling and the method of Hb measurement.

Morphological Production Accuracy Patterns In Younger And Older Spanish-English Bilingual Children, Isabel Angelica Cano

Open Access Theses & Dissertations

Clinicians require a model of typical bilingual language development. Morphological production accuracy patterns vary in Spanish-English (S-E) bilingual children considering differences in the exposure and use of their two languages compared to their monolingual peers. The purpose of the current study was to examine morphological production accuracy patterns in thirty younger (3- to 4-years old) and older (5- to 6-years old) S-E bilingual children utilizing English and Spanish Morphosyntax subtests from a bilingual language screener. Across development, older bilingual children were more accurate on all forms in both English and Spanish than younger bilingual children. Across languages, all S-E bilingual …

Exploring Sedentary Time Of Rural Children During Structured Versus Less-Structured Days, Serina Rayan

Honors Undergraduate Theses

The purpose of this study is to examine rural children's sedentary time during school days vs non-school days Currently, childhood obesity research has focused predominantly on urban-dwelling children. However, existing literature indicates that rural children have higher rates of obesity than their urban counterparts. There is a current lack of evidence investigating the obesogenic behaviors of rural children, such as physical activity levels, sleep duration, sedentary behaviors and diet. With this project, I aim to observe sedentary time (time spent sitting, screen time etc.) as research has shown that independent of physical activity, sedentary time is associated with weight gain. …

The Validity And Reliability Of The Turkish Version Of The Body Esteem Scale Foradolescents And Adults (Besaa) For Children, Umut Ece Arslan, Lütfi̇ye Hi̇lal Özcebe, Hande Konşuk Ünlü, Sarp Üner, Mahmut Saadi̇ Yardim, Ozgur Araz, Terry T-K Huang

Turkish Journal of Medical Sciences

Background/aim: Body esteem (BE) is defined as the self-evaluation of one's own body or appearance. The Body Esteem Scale for Adolescents and Adults (BESAA) consists of three subscales: BE-appearance, BE-weight, and BE-attribution. Though initially developed for adolescents and adults, the use of the scale has recently increased in health-related research on children. This study aimed to assess the validity and reliability of the Turkish version of the BESAA for children. Materials and methods: The participants in the study were 4th grade children (aged 9-10 years) in Ankara, Turkey. The validity of the scale was evaluated through exploratory and confirmatory factor …

Changes In P1 Latencies Of Children With Normal Hearing And Those With Cochlear Implants, Emre Eski̇ci̇oğlu, Günay Kirkim, Selhan Gürkan, Serpi̇l Mungan Durankaya, Tahsi̇n Oğuz Başokçu, Eni̇s Alpi̇n Güneri̇

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to determine the age-related latency interval of P1 latencies of children with normal hearing, and to evaluate the P1 latency changes after surgery in children who underwent cochlear implantation. Materials and methods: We evaluated 60 children with normal hearing and 16 children with cochlear implants aged 0-6 years using cortical auditory evoked potentials. P1 latencies were measured only once in the children with normal hearing, and on the postoperative first day, and the first, third, and sixth postoperative months in the children with cochlear implants. Results: There was a statistically significant decrease in …

Dietary Fat Intakes In Irish Children: Changes Between 2005 And 2019, Aileen O’Connor, Maria Buffini, Anne Nugent, Laura Kehoe, Albert Flynn, Janette Walton, John Kearney, Breige Mcnulty

Articles

Objective:To examine current dietary fat intakes and compliance in Irish childrenand to examine changes in intakes from 2005 to 2019.Design:Analyses were based on data from the Irish National Children’s FoodSurvey (NCFS) and the NSFS II, two cross-sectional studies that collected detailedfood and beverage intake data through 7-day and 4-day weighed food diaries,respectively.Setting:NCFS and NCFS II, Republic of Ireland.Participants:A nationally representative sample of 594 (NCFS) and 600 (NCFS II)children aged 5–12 years. Current intakes from the NCFS II were compared withthose previously reported in the NCFS (www.iuna.net).Results:Current intakes of total fat, SFA, MUFA, PUFA andtransfat as a percentageof total energy are …

A Review Of The Influence Of Fathers On Children's Eating Behaviours And Dietary Intake, Stephanie Rahill, Aileen Kennedy, John Kearney

Articles

The role of fathers in child rearing has changed in recent years due to an increase in maternal employment. Despite this, the majority of research has focused on maternal influences and behaviours in relation to child feeding. Therefore, the aims of the narrative review were: 1) to examine the role and responsibility of fathers in child feeding and the factors associated with paternal responsibility in child feeding; 2) to establish how paternal modelling, paternal diets, and paternal feeding practices relate to children's eating behaviours and dietary intake; and 3) to explore the role of maternal perceptions on paternal feeding roles, …

Developing The Rapid Assessment Of Problem Solving For Kids (Raps-K), Emily Phillips

Mahurin Honors College Capstone Experience/Thesis Projects

The Rapid Assessment of Problem Solving (RAPS) was created by Dr. Robert Marshall in order to assess an individuals’ problem solving abilities. This assessment is set up like the popular twenty-questions game and is used to assess adults with cognitive impairments. An administrator chooses a picture from a board of thirty-two pictures and the subject must ask yes or no questions in order to guess the target picture in as few questions as possible. Analysis assesses integration planning scores, question asking efficiency scores, and question types to determine a level of problem solving abilities.

Smith and Jones (2018) used the …

Does Animal-Assisted Therapy Reduce Anxiety In Pediatrics?, Kimberly Carroll

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not animal-assisted therapy reduces anxiety in pediatrics.

Study Design: Three randomized controlled trials (RCTs) published between 2015 and 2017 were reviewed. All studies compared the effects of animal assisted therapy to a control group consisting of a simple distracting game or medical treatment alone on the self-reported anxiety levels of patients receiving medical treatment under the age of 18.

Data Sources: All sources were published in English in peer reviewed journals within the last 10 years (2008-present). They were found using databases such as PubMed, Cochran library, …

Relationship Between Parent Asthma Knowledge, Parental Control Of Child's Asthma, And Parent Qol, Glori Sommerer

Walden Dissertations and Doctoral Studies

The long-term responsibility of caring for a child with asthma can result in parents

experiencing a lower quality of life (QoL), especially if the child's asthma is not well

controlled. Asthma knowledge can enhance asthma control practices among parents.

However, research has not explored these variables together to determine whether

parental control of child's asthma mediates the relationship between parent asthma

knowledge and parent QoL. This quantitative research study explored whether parental

control of child's asthma mediated the relationship between parent asthma knowledge

and parent QoL. The theoretical foundation was asthma self-regulation theory, focused

on the importance of asthma knowledge …

Who Infant And Young Child Feeding Indicators In Relation To Anthropometric Measurements, Abdullah Al-Taiar, Nawal Alqaoud, Majeda S. Hammoud, Faheema Alanezi, Nawal Aldalmani, Monica Subhakaran

Community & Environmental Health Faculty Publications

Objective: This study aimed to report the WHO infant and young child feeding (IYCF) indicators from Kuwait and to investigate the associations between these indicators and anthropometric measurements.

Design: The Kuwait Nutritional Surveillance System uses observational cross-sectional approach to collects data by face-to-face interviews with mothers or child guardians using a structured questionnaire that was developed based on the WHO IYCF indicators. The weight and height of infants and young children were measured using digital scales in a standardised manner.

Setting: Vaccination centres in all governorates (provinces) of Kuwait.

Participants: Infants and young Kuwaiti children aged 0–23 months (N 5839). …

Does The Type Of Housing A Child Lives In Predict Blood Lead Level?, Elizabeth Alvarado Navarro

Open Access Theses & Dissertations

Background and Significance: Childhood lead exposure continues to be a global health problem that can compromise children's long-term health. Identifying factors that predict which children may be at the highest risk of exposure is a strategy that could help focus child lead surveillance. Lead is a natural element found in small amounts in the earth's crust and has been widely used in industry and consumer products since the time of the Romans. Lead, however, is highly toxic for humans and serves no biological purpose in the human body. There is substantial evidence that, even at the lowest levels of exposure, …

Cochlear Implants And Executive Function In Children: A Current Review Of Literature, Jessica Bonezzi, Dr. Alex Meibos

Williams Honors College, Honors Research Projects

We systematically reviewed existing research on cochlear implantation and executive function to determine if children with bilateral profound hearing loss with cochlear implantation have executive functioning levels similar to their normal hearing peers. Overall, we wanted to know if cochlear implantation resulted in executive functioning in deaf children. A systematic analysis of research was performed using the Preferred Reporting of Systematic Reviews and Meta-Analyses (PRISMA) technique. Research comparing unilaterally implanted children to bilaterally implanted children shows that bilaterally implanted children scored higher on verbal IQ tests. Research comparing predominately bilaterally implanted children to norms presents split results.

Motor Planning In Children With And Without Developmental Coordination Disorder: Behavioural And Neurological Evidence, Ranila Bhoyroo

Theses

Developmental coordination disorder (DCD) is a neurodevelopmental condition that is characterised by an inability to acquire and execute well-coordinated movements at an age appropriate level (American Psychiatric Association, 2013). Converging evidence suggests that children with DCD experience motor planning difficulties compared to typically developing children; however, these difficulties may be task dependent. To our knowledge, the underlying nature of this deficit as well as the task parameters that might affect motor planning are not well established. Also, while it has been reported that alterations in areas of the frontal and parietal lobe may underlie poor motor planning in this population, …

Secondhand Smoke Exposure And Other Signs Of Tobacco Consumption At Outdoor Entrances Of Primary Schools In Eleven European Countries, Elisabet Henderson, Xavier Continente, Esteve Fernandez, Olena Tigova, Nuria Cortes-Francisco, Silvano Gallus, Alessandra Lugo, Sean Semple, Rachel O'Donnell, Luke Clancy, Sheila Keogan, Ario Ruprecht, Alessandro Borgini, Anna Tzortzi, Vergina K. Vyzikidou, Giuseppe Gornini, Angel Lopez-Nicolas, Joan B. Soriano, Gergana Geshanova, Joseph Osman, Ute Mons, Krzysztof Przewozniak, Jose Precioso, Ramona Brad, Maria J. Lopez, Tackshs Project Investigators

Articles

Introduction: Although smoking restrictions at child-related settings are progressively being adopted, school out-door entrances are neglected in most smoke-free policies across Europe.

Objectives:To describe secondhand smoke (SHS) exposure and tobacco-related signs in outdoor entrances of primary schools in Europe according to area-level socioeconomic status (SES), smoke-free policy, national smoking prevalence, and geographical region.

Methods:In this cross-sectional study we monitored vapor-phase nicotine concentrations at 220 school outdoor entrances in 11 European countries (March 2017–October 2018). To account for nicotine presence, we used the laboratory's limit of quantification of 0.06μg/m3as point threshold. We also recorded the presence of smell of smoke, people …

Effectiveness Of A School-Based Asthma Education Program For 8-10-Year-Old Children, Laura Hunt

DNP Projects

Background: Asthma is the most common chronic condition to affect children in the United States Five million children throughout the United States and approximately 112, 000 children in Kentucky are living with the diagnosis of asthma (CDC, 2017; CHFS, 2017). Based on current rates 1 out of 10 elementary school-age students will likely have asthma (CDC, 2019). Educating elementary-age students about asthma and symptoms of an asthma exacerbation is very important and could save a life.

Methods: A school-based asthma education program targeting children in third and fourth grades was implemented at two elementary schools in Central Kentucky. The asthma …

Feasibility And Acceptability Of A Game-Based Symptom-Reporting App For Children With Cancer: Perspectives Of Children And Parents, Lauri Linder, Amy Rose Newman, Kristin Stegenga, Yin-Shun Chiu, Sarah E. Wawrzynski, Heidi Kramer, Charlene Weir, Scott Narus, Roger Altizer

College of Nursing Faculty Research and Publications

Background

Children with cancer have difficulty identifying and describing the multiple symptoms they experience during hospitalization and between clinical encounters. Mobile health resources, including apps, are potential solutions to support child-centric symptom reporting. This study evaluated the feasibility and acceptability of a newly developed game-based symptom-reporting app for school-age children with cancer.

Procedure

Nineteen school-age children (6–12 years of age) receiving treatment for cancer at a COG institution in the Intermountain West of the United States used a game-based symptom-reporting app between clinical visits. Feasibility was evaluated through a summary of actual days of app use and interaction with each …

Disparities In The Prevalence And Risk Factors Of Anaemia Among Children Aged 6–24 Months And 25–59 Months In Ethiopia, Tafere Gebreegziabher Belay, Nigatu Regassa, Micaela Wakefield, Kelly Pritchett, Susan Hawk

All Faculty Scholarship for the College of Education and Professional Studies

Despite global efforts made to address anaemia, the prevalence remains high in most Sub-Saharan African countries. In Ethiopia, anaemia poses a very strong public health concern. The purpose of the present study was to examine the key risk factors related to anaemia among children aged 6–24 months (younger age group) and 25–59 months (older age group). We used the 2016 Ethiopian Demographic and Health Survey data, collected from 11 023 mothers with under five children. Ordered logistic regression modelling was used for assessing risk factors of childhood anaemia. The results suggest that the prevalence of anaemia was 72 % in …

Parenting Styles, Parenting Practices, And Dietary Intakes Of Preschoolers And Their Parents, Biyi Chen

Electronic Theses and Dissertations

Emerging research efforts have focused on the role of parents in the development of dietary behaviors of their children. Parental influences play a particularly important role in determining the children’s weight and shaping children’s dietary behaviors, especially during early childhood. Parent-related determinants can be classified as two types—general parenting (parenting style) and specific parenting practices (e.g, food parenting practices). Examining the interactions between parental influences and preschoolers’ and their parental dietary behaviors and may reveal important insights into how parents influence children’s dietary behaviors. Therefore, the goal of this research is to examine the associations between parenting styles, food parenting …

Silent Cerebral Infarct In Sickle Cell Anemia Patients Of Southern Turkey, Ezgi̇ Nafi̇le Sayman, Göksel Leblebi̇satan, Şeri̇fe Leblebi̇satan, Yunus Kenan Biçakci, Yurdanur Kilinç, Adnan Barutçu

Turkish Journal of Medical Sciences

Background/aim: Silent cerebral infarct (SCI) is an ischemic lesion seen before clinical signs of brain infarct and ischemic changes in brain tissue. This study aimed to detect SCI with noninvasive methods and to determine related risk factors in patients with sickle cell anemia (SCA). Materials and methods: Fifty-four SCA patients who had no history of cerebral infarct and whose neurological examinations were normal were included in this study. Brain magnetic resonance imaging (MRI) and diffusion MRI were taken and the acquired data was compared statistically. Results: SCI was detected in 11.1% (6/54) of the patients. No statistical differences in age, …

Safety And Effectiveness Of Stoss Therapy In Children With Vitamin D Deficiency, Paul Tannous

Theses

Objectives: Paediatric vitamin D (25-hydroxyvitamin D - 25OHD) deficiency can lead to nutritional rickets and extra-skeletal complications. Compliance with daily therapy can be difficult, making high dose, short-term vitamin D (stoss) therapy attractive to correct vitamin D deficiency. We compared the effectiveness and safety of standard versus stoss therapy in treating childhood 25OHD deficiency.

Study Design: Children aged 2 - 16 years with 25OHD <50nmol/L were randomized to either standard (5,000IU daily for 80 days) or stoss (100,000 IU weekly for 4 weeks) cholecalciferol. Participants underwent evaluation of effectiveness and safety. 25OHD, random spot calcium: creatinine ratio (Ca:Cr) and compliance were measured at 12 weeks.

Results: 151 children were enrolled in the study (68 standard and 83 stoss), median age 9 years (IQR: 6 - 12 years). Baseline 25OHD levels were 26 nmol/L (IQR: 19 - 35 nmol/L) and 32 nmol/L …

Hearing Care And Management Priority Among Parents Of Children With Down Syndrome: A Grounded Theory, John J. Whicker, Karen F. Muñoz, Nicole J. Pearson, Trenton J. Landon, Lauri H. Nelson, Karl R. White, Michael P. Twohig

Communicative Disorders and Deaf Education Faculty Publications

Objective: This study qualitatively explored the factors that influence how parents of children who are Deaf or hard-of-hearing with Down syndrome prioritize hearing care and management and developed an associated theory to explain that priority.

Design: Grounded theory was used for the purposes of this qualitative study. Data were collected using in-depth interviews which were analyzed using a three-tiered qualitative coding process.

Study Sample: Eighteen mothers of children who are Deaf or hard-of-hearing with Down syndrome participated in this study.

Results: The higher the extent of engaged professional support, perception of benefit for child, parent activation, and family engagement, the …

Brain Development: Why The Young Sleep Longer, Budhaditya Chowdhury, Orie T. Shafer

Advanced Science Research Center

From absorbing new languages to mastering musical instruments, young children are wired to learn in ways that adults are not (Johnson and Newport, 1989). This ability coincides with periods of intense brain plasticity during which neurons can easily remodel their connections (Hubel and Wiesel, 1970). Many children are also scandalously good sleepers, typically getting several more hours of sleep per night than their parents (Jenni and Carskadon, 2007). As sleep deprivation has negative effects on learning and memory, learning like a child likely requires sleeping like one (Diekelmann and Born, 2010). Yet, how the ability to sleep for longer is …

Childhood Anxiety, Cognitive Behavioral Therapy And/Or Pharmacological Treatment, Jennifer S. Mccarthy

All Graduate Theses, Dissertations, and Other Capstone Projects

Objective: Evaluate best practice in managing anxiety in the pediatric population, including both school age children and adolescents. This literature review compared pharmacological treatment and cognitive behavioral therapy (CBT)’s effectiveness on the management of anxiety within the pediatric population.

Background: Up to 25% of children in the United States are affected by a mental health disorder, anxiety being the most prevalent. Childhood anxiety can have a distressing impact on social, family, and academic functioning. If persisting into adulthood it increases the risk of developing other co-occurring mental health conditions, substance abuse issues, and contributes to impaired employment retention and socioeconomic …

Association Between Childhood Secondhand Smoke Exposure And Inflammatory Bowel Disease Development, Stephanie Eve Walsh

Walden Dissertations and Doctoral Studies

Inflammatory bowel disease (IBD) is a group of diseases that affect the gastrointestinal tract. Environmental factors, such as smoking, have been shown to play a role in the development of IBD; however, minimal research regarding secondhand smoke (SHS) exposure and the development of IBD has been conducted. The purpose of this study was to examine whether there was a relationship between childhood SHS exposure and the development of IBD. Bronfenbrenner’s ecological systems theory was used in this study as a basis that the environment can aid in the development of disease. The research questions addressed the potential association between childhood …

Treatment Disparities In Black And Hispanic Children With Attention-Deficit Hyperactivity Disorders, Charlotte Seiji Frey

Walden Dissertations and Doctoral Studies

Disparity in diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) among children has been studied; however, no known studies examining disparities based on severity of symptoms have been investigated. The purpose of this study was to assess the racial disparities in diagnosis and treatment that exist among children based on severity of symptoms. This cross-sectional quantitative analysis used data from the 2016 National Survey of Children's Health and the theoretical foundation was guided by the behavioral model of healthcare utilization and help-seeking behavior for ADHD. Binomial logistic regression analysis showed an overall association between race and the diagnosis and …

Epidemiology Of Soccer‐Related Head Injury In Children 5–14 Years In Victoria, Australia, Amy E. Smith, Catherine Krejany, Moyez Jiwa

Medical Papers and Journal Articles

Aim: Our aim was to use epidemiological data to determine the incidence of soccer‐related head injuries in children aged 5–14 years who presented at emergency departments (EDs) or were admitted in hospitals in Victoria, Australia.

Methods: ED presentation and hospital admission de‐identified aggregate data were from the Victorian Injury Surveillance Unit. Soccer participation data were compared with the soccer‐related head injury data to determine the incidence of this injury among these children.

Results: The incidence of ED presentations was 0.17% of children participating in soccer during the study period (financial years 2011–2012 to 2015–2016). The 10–14‐years age group presented with …

Pediatric Immunization Practices In Nephrotic Syndrome: An Assessment Of Provider And Parental Knowledge, Cheryl L Tran, David T Selewski, Gia J Oh, Jonathan P Troost, Susan F Massengill, Samhar I Al-Akash, Shefali Mahesh, Rasheda Amin, Isa F Ashoor, Rahul Chanchlani, Mahmoud Kallash, Robert P Woroniecki, Debbie S Gipson

Faculty, Staff and Student Publications

Background: Children with nephrotic syndrome (NS) are at high risk for vaccine-preventable infections due to the immunological effects from the disease and concurrent treatment with immunosuppressive medications. Immunizations in these patients may be deferred due to their immunosuppressive treatment which may increase the risk for vaccine-preventable infections. Immunization practices in children with NS continue to vary among pediatric nephrologists. This raises the question of whether children with NS are receiving the recommended vaccinations at appropriate times. Therefore, it is critical to understand the practices and patient education provided by physicians to patients on the topic of vaccinations.

Methods: After informed …

The Prevalence Of Overweight And Obesity In Irish Children Between 1990 And 2019, Aisling O'Donnell, Maria Buffini, Laura Kehoe, Ann Nugent, John Kearney, Janette Walton, Albert Flynn, Breige Mcnulty

Articles

Objective: The present study aimed to examine the temporal prevalence of overweight and obesity in Irish children through different methodologies and evaluate the change in rates between 1990 and 2019.